Abstract
Wide acceptance of laparoscopic esophagectomy has been hampered by the technical difficulty of the procedure and inconsistent improvements in morbidity and mortality. Most case series have utilized a combined thoracoscopic-laparoscopic approach (TLE), but laparoscopic inversion esophagectomy (LIE), a method of transhiatal esophagectomy, has been proposed as an alternative. Inversion esophagectomy simplifies retraction and improves exposure during the mediastinal dissection; however, no previous studies have directly compared LIE outcomes with those of the combined approach. Between July 2003 and March 2008, 70 consecutive patients underwent minimally invasive esophagectomy by LIE (N = 40) or TLE (N = 30). Data for all patients were collected prospectively and stored in a relational database. Recorded outcome measures included operative time, blood loss, length of hospital stay, intensive care unit stay, and perioperative complications. There were no significant differences in patient age, gender, body mass index (BMI), or American Society of Anesthesiologists (ASA) class between the groups, but LIE patients had lower stage of esophageal cancer, and were less likely to have received induction chemoradiotherapy than TLE patients....Continue Reading
References
Oct 1, 1994·American Journal of Surgery·N SadanagaK Sugimachi
Mar 1, 1993·The British Journal of Surgery·M GoldmincB Launois
Jan 1, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·C A JacobiH Pichlmaier
Jul 1, 1997·Surgery·S LawJ Wong
Sep 25, 1997·Archives of Surgery·L L Swanstrom, P Hansen
Oct 27, 1997·American Journal of Surgery·K M ChuJ Wong
Dec 31, 1998·The New England Journal of Medicine·D P KelsenJ A Roth
Jan 29, 2000·The Journal of Thoracic and Cardiovascular Surgery·M B OrringerM D Iannettoni
Aug 2, 2000·Archives of Surgery·N T NguyenJ E Goodnight
Apr 12, 2002·The New England Journal of Medicine·John D BirkmeyerDavid E Wennberg
Nov 22, 2002·The New England Journal of Medicine·Jan B F HulscherJ Jan B van Lanschot
Oct 8, 2003·Annals of Surgery·James D LuketichHiran C Fernando
Dec 4, 2003·Journal of the American College of Surgeons·Ninh T NguyenBruce M Wolfe
Jun 24, 2005·American Journal of Surgery·Shmuel AvitalRaul Rosenthal
Sep 20, 2006·Archives of Surgery·Blair A JobeJohn G Hunter
Nov 29, 2007·Annals of Surgery·Jikke M T OmlooJ Jan B van Lanschot
Citations
May 18, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kyle A PerryJohn G Hunter
May 14, 2010·Surgical Endoscopy·Sebastian F SchoppmannJohannes Zacherl
Mar 17, 2011·World Journal of Surgery·Toshitaka HoppoJohn G Hunter
Sep 7, 2013·Surgery·Kyle A PerryW Scott Melvin
Jan 1, 2012·Seminars in Thoracic and Cardiovascular Surgery·Nathan W BronsonJohn G Hunter
Dec 4, 2012·Seminars in Thoracic and Cardiovascular Surgery·George B HannaSheraz R Markar
Nov 22, 2012·Gastrointestinal Endoscopy Clinics of North America·Brintha K Enestvedt, Gregory G Ginsberg
Mar 18, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Alberto PatritiLuciano Casciola
Sep 24, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Nathan W BronsonJames P Dolan
May 13, 2015·The Surgical Clinics of North America·Blair A Jobe
Aug 20, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Patrick J McLaren, James P Dolan
Apr 21, 2012·Current Opinion in Gastroenterology·Renato A LunaJohn G Hunter
Oct 11, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Erin SchumerWilliam Scott Melvin
Dec 21, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marc M DantocGuy D Eslick
May 15, 2010·American Journal of Surgery·Thai H PhamJohn G Hunter